Rural Health Clinic Quality Measurement Project Rural Health Clinic - - PowerPoint PPT Presentation

Muskie School of Public Service Rural Health Clinic Quality Measurement Project

Rural Health Clinic Technical Assistance Call March 11, 2015 Maine Rural Health Research Center

Muskie School of Public Service Maine Rural Health Research Center

Contact Information

John Gale Maine Rural Health Research Center Muskie School of Public Service University of Southern Maine jgale@usm.maine.edu 207.228.8246

Muskie School of Public Service Maine Rural Health Research Center

Objectives

• Introduction to the RHC quality measurement project
• Benefits of participation
• Using the five core quality measures to drive quality

improvement

• How to participate in the RHC quality measurement project
• Introduction to QHI

Muskie School of Public Service Maine Rural Health Research Center

RHC Quality Project

Goals

• Work with key stakeholders in SORHs, state RHC

associations, and the National Association of Rural Health Clinics to recruit RHCs to participate in the project

• RHC Cohort will be asked to pilot test, evaluate, and refine

the measures

• Participants will be asked to report the five core measures at

minimum and can select from the additional thirteen optional measures

Muskie School of Public Service Maine Rural Health Research Center

Criteria for Selecting Measures

• Prevalence/volume in RHCs

‒ Reflects a commonly provided RHC service or population served?

• Internal importance for quality and performance improvement

‒ Core primary care services, important to/under control of providers,

• pportunity for improvement, reflects key dimensions of care

(effectiveness, safety, timeliness, patient centeredness, and/or equity

• External importance for public reporting and payment reform

‒ Captures aspects of care important to payers and policymakers, useful for public reporting

• Scientifically sound

‒ Reliable/reproducible, captures the concept of interest, valid

• Feasibility

‒ Cost/burden of measurement are reasonable, relatively easy to collect

Muskie School of Public Service Maine Rural Health Research Center

Criteria for Assessing Measures (cont’d)

• Consistent with/comparable to existing national measure sets

‒ CMS Physician Quality Reporting System, NQF, NCQA PCMH, etc.

• Allows comparison with primary care provider organizations

‒ FQHCs, primary care private practices and providers, etc.

• Actionable

‒ Results interpretable? Can RHCs use data to make decisions or improve quality?

Muskie School of Public Service Maine Rural Health Research Center

Core Measures

Collected by all participants

• NQF # 18 – Controlling High Blood Pressure
• NQF # 28 – Tobacco Use Assessment and Cessation

Intervention

• NQF # 38 – Childhood Immunization Status
• NQF # 59 – Diabetes: Hemoglobin A1c poor control
• NQF # 419 – Documentation of current medications –

adult/geriatric

Muskie School of Public Service Maine Rural Health Research Center

Optional Measures

• NQF # 24 – Body Mass Index – Pediatric
• NQF # 36 – Asthma – use of appropriate medications
• NQF # 41 – Influenza Immunization
• NQF # 43 – Pneumonia vaccines – older adults
• NQF # 56 – Diabetes: foot exam – adult/geriatric
• NQF # 57 – Diabetes: Hemoglobin A1c testing
• NQF # 61 – Diabetes: Blood Pressure Management
• NQF # 62 – Diabetes: Urine protein screening
• NQF # 63 – Diabetes: Lipid profile
• NQF # 68 – Ischemic Vascular Disease – use of aspirin – adult/geriatric
• NQF # 73 – IVD: Blood Pressure Management – adult/geriatric
• NQF # 75 - Ischemic Vascular Disease: Complete Lipid Profile and LDL-C

Control <100 mg/dL

• NQF # 421 – BMI screening and follow-up – adults

Muskie School of Public Service Maine Rural Health Research Center

Expectation of Participants

• Complete registration paperwork
• Report on five core measures (at minimum) and optional

thirteen measures (by choice) through QHI data portal

• Report data quarterly
• Use data for benchmarking and quality improvement
• Participate in brief evaluation of measures and reporting issues

Muskie School of Public Service Maine Rural Health Research Center

Request for Participants

• Quality reporting and performance improvement will cease to

become an option for RHCs – it will be a necessity

• Collaboration between Maine Rural Health Research Center and

QHi provides a vehicle to:

‾ Gain access to quality reporting tools ‾ Cadre of like-minded RHCs to benchmark performance and learn from

• ne another

‾ Influence and shape measures to monitor RHC quality performance ‾ Document and improve clinic performance

• Contact John Gale at jgale@usm.maine.edu if you are interested

in participating

Quality Health Indicators

Minnesota

11

Wyoming California Colorado Arizona New Mexico Nebraska Kansas Oklahoma Minnesota Michigan Louisiana Oregon Kentucky Missouri Illinois

109

13 18 19 2 9 10 1 14 18 22 8 37 12 3

• 1000+ users
• 295 hospitals
• 15 states

Hospitals in QHi

Quality Health Indicators

Clinics

Kansas Michigan

60 RHCs Participating

14

35

California

5

Wyoming

1

Colorado

3

Maine

2

Quality Health Indicators

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A user name and password is required to enter this secure web site. Password criteria: Minimum 8 characters, Upper case letter, Lower case letter, Number

The level of access is determined by the user type.

• System Administrator – maintains the site – KHA/KHERF
• State Administrator –provides support to Provider Contacts in their State
• Network Administrator – maintains Network profiles & provides support
• Provider Contact – maintains Provider profile , adds users & enters data
• Provider User – enters data and runs reports
• View Only – views data and runs reports
• Report Recipient – no access to QHi, only receives reports

Quality Health Indicators

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Clinic Profile Page

Quality Health Indicators

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Identifies Best Practice Performer My Facility My State All of QHi Monthly Reports

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My Hospital My Hospital My Hospital

Best Practice Reports Providers with a Top 5 score are Best Practice Performers Rank of Facility Direct connection to Best Performers

Quality Health Indicators

17

Bar Graphs, Line Graphs, Tables and Trend Reports Customizable time frames and peer groups are options for all reported measures.

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